Individual ProviderLetitia Ingram-BrownSocial WorkerBehavioral Health & Social Service ProvidersPractice Address925 Van Duzer St, Staten Island, NY 10304-1817(718) 809-8788PECOS EnrollmentBased on the most recent information from CMS, provider Letitia Ingram-Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1598529604Provider TypeIndividualFull NameIngram-Brown, LetitiaGenderFemaleSole ProprietorNoEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address925 Van Duzer St, Staten Island, NY 10304-1817Phone(718) 809-8788Fax(718) 524-6257Mailing LocationMailing Address925 Van Duzer St, Staten Island, NY 10304-1817Phone(718) 809-8788Fax(718) 524-5762Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer